IndividualActive
Kelly Gough
NPI 1902764582 · Peer Specialist · Harrison, NY
Kelly Gough is a Peer Specialist provider in Harrison, NY (NPI 1902764582).
Provider details
- NPI number
- 1902764582
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
275 North St
Harrison, NY 10528-1140
Phone: (914) 925-5309
Approximate (ZIP-level) locationGet directions
Mailing address
275 North St
Harrison, NY 10528-1140
Registry dates
- Enumerated
- 2026-01-13
- Last updated
- 2026-01-13
- Certified
- 2026-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.